| NPI | 1194993279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODGER LORIN SCOVILLE Partner 435-864-5121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: UT 167713-1202) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-02-12 |